Patient's question:
Male infant, full-term birth. 13 months, weight 13 kg. Strong non-autonomous rigidity. Head MRI plain scan imaging findings: T2W bilateral occipital lobe white matter hyperintensity, symmetrical small patchy slightly high signal in bilateral globus pallidus, no abnormal signal seen in the rest of the cerebral parenchyma. Normal sulci and gyri in each lobe of the cerebral hemisphere. Bilateral ventricles are full, no abnormalities seen in the rest of the ventricular system. Widened subarachnoid space in bilateral frontal and temporal lobes, more prominent on the left, no widening seen in the rest of the cisterns and subarachnoid space. No abnormalities seen in the cerebellum and brainstem. Midline structures are not displaced. Pituitary Rathke's cleft.Impression:
Slightly delayed myelination
Symmetrical small patchy slightly high signal in bilateral globus pallidus
Bilateral ventricles are full, widened subarachnoid space in bilateral frontal and temporal lobes
Pituitary Rathke's cleft
Doctor's answer:
It may be caused by epilepsy, and tests such as an electroencephalogram (EEG) and brain CT are needed. Medications such as phenobarbital, diazepam, and sodium amobarbital should be taken orally. If the effect is not good, minimally invasive surgery should be performed at the hospital. Generally, Western medicine should not be arbitrarily changed, discontinued, or stopped. Only after the epilepsy has been completely controlled for 2-3 years and the EEG is normal can the dosage be gradually reduced and the medication stopped.